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Home My WebLink About1399 PELICAN ST; MP; CB981650; PermitFOR OFFICE USE ONLY PLAN CHECK NO. q g I le50 . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit _____ .,__ __ _ Validated By __________ _ Date.--''--------------- Legal Description Lot No. ~ 1 siness Name (at this address) u::u-A LkqQ Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms City S.tate/Zlp Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires e permit to construct, alter, improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged tlon. Any violation of Section 7031.5 b any applicant for a permit ~utye;:.ts the applicant to a civil penalty of not mora than five hundred dollars 1$5001). tN0 ,J-V~ . -112- State License # _73:,~_22,~~32-=-----License Class __ ..,B ______ _ City State/Zip Telephone # (J/eJf 8t:£X:> City Business License # JI C/{~Q Designer Name State License # Address City ~~~~ ' , " .. ,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance work for which this permit is Issued. have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is d. My worker'&l)l!;llP/nsa ·o~urance carrier and policy number are: 5 za Insurance Company.:,_r'\l_:..v_..!,\~:::_______________ Polley No. ci-J]t)C,-Z.((? Expiration Date /J5 _ __1 j (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the p11rformance of the work for which this permit is issued, I shall not employ any person in any manner so IS to become subject to the Workers' Compensation Laws of California. WARNING: Fa thoua■nd dolla I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will hava the burden of proving that he did not build or improve for the purpose of sale). 0 I, IS owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted _with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work): ____________ ~---------------------------~------------- PROPERTY OWNER SIGNATURE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ,)I/ NO Is the applicant or future building occupant required to obtain a permit from tha air pollution control district or air quality management district? 0 YES "J(' NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES ~ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT . . o ~y., I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issue by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit .__.,._.,,. ... menced wi 65 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after 1 0 da s (Saction 1. 06.4.4 Uniform Buildln 0 gACToEde~t7./J !nU APPLICANT'S SIGNATURE _Jl-..:::==~::;..__,,t_,;:______..==_.."--~-------.,__-0.._'vf (~ WHITE: File YELLOW: Applicant PINK: Finance ,• . PERMIT# CB981650 DESCRIPTION: 100 AMP TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 07/22/98 PEDESTAL METER PHONE: PHONE: INSPECTOR AREA PS PLANCK# CB981650 OCC GRP CONSTR. TYPE NEW LOT: STE: 619-481-8500 JOB ADDRESS: 1399 PELICAN ST APPLICANT: BROOKFIELD HOMES CONTRACTOR: OWNER: PHONE: ~ REMARKS: C/PERRY/438-0067 SPECIAL INSTRUCT: EMR INSPECTOR--~--+-·------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 39 EL Final Electrical fu ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE 070298 060398 DESCRIPTION Const. Service/Agricultural Const. Service/Agricultural ACT INSP NS RB NR PS COMMENTS . '-" -()~ ~)J 6 '-;~ 72, ! )k-:t' (of 2 / J .s " . . , r31 ll-~ C'L, "" 63 vnOR£B1Ro L-1,11, ~ -. < ® t µ?-i /1-"I J . I i -t7 -62 ·6T . 60 / 59 @ ®. ® 0 By APPR~'P:: _ MAY 2 0 1998 City of CARLSBAD BUILDING DEPT. CITY OF CARLSBAD . COtmrr OF .S.,,, DIEC A vZ4R..I Pl.ANNIN I 5 ill ij ~ § c~ f -. (C: .-,,::; .. i... _J -~ ( I . - ?lo -z,:)+~ C{3'iu-3( PoR 33 -~ Lo-2.,'3 Lt.A. ;t { . ·· /C{{f) /2dt w~V\ ~-{ . , ··c:~kw<.e) --··-'/J'r . . I 23 . @ ~ ~ q S/h 5D